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General NPI Number Information
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NPI Number | 1063881183
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Entity Type | Individual
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Provider Name | KRISTIN AUSTIN PHARMD
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Gender | Female
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Dates
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Enumeration Date | 09/18/2015
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Last Update Date | 06/04/2021
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Provider Practice Location Address
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Address Line | 1 MEDICAL CENTER DR
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City | MORGANTOWN
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State | WV
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Zip | 26506-1200
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Country | US
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Telephone | 304-598-4148
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Fax | 304-598-4073
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Provider Business Mailing Address
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Address Line | 314 GOFF MOUNTAIN RD SUITE 5
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City | CROSS LANES
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State | WV
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Zip | 25313-6602
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Country | US
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Telephone | 304-388-7054
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Fax | 304-388-7055
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 121336
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP0009319
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License Number State | WV
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